Q:

A 4 year old girl is taken by her mother to the emergency department and complains of feeling unwell, urinary urgency and temperature 39 C. What is the single next best investigation?

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A 4 year old girl is taken by her mother to the emergency department and complains of feeling unwell, urinary urgency and temperature 39 C. What is the single next best investigation?


  1. Catheter catch of urine
  2. Clean catch of urine
  3. US
  4. IVU
  5. Suprapubic catch of urine

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The key is B. Clean catch of urine. [The clinical features described are consistent with urinary tract infection for which clean catch of urine is the next best investigation].

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